Psychological and social factors in coronary heart disease

  title={Psychological and social factors in coronary heart disease},
  author={Christian Albus},
  journal={Annals of Medicine},
  pages={487 - 494}
  • C. Albus
  • Published 1 October 2010
  • Psychology, Medicine
  • Annals of Medicine
Abstract More than six decades of empirical research have shown that psychosocial risk factors like low socio-economic status, lack of social support, stress at work and family life, depression, anxiety, and hostility contribute both to the risk of developing coronary heart disease (CHD) and the worsening of clinical course and prognosis in patients with CHD. These factors may act as barriers to treatment adherence and efforts to improve life-style in patients and populations. In addition… 
In clinical practice, psychosocial risk factors should be identified and medical outcomes discussed with the patient, and risky patients with clinical symptoms of anxiety and depression should be guided for professional mental health assistance.
Psychosocial Wellbeing of Patients Diagnosed with Coronary Artery Disease
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Psychosocial factors in people with chronic kidney disease prior to renal replacement therapy
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The psychological resources, mastery and self-esteem showed robust protective effects on CHD, also after adjustment for established risk factors as well as depressive symptoms, and hopelessness was an independent risk factor for CHD.
Effects of Social Support and Stressful Life Events on Health-Related Quality of Life in Coronary Artery Disease Patients
Perceived social support and stressful life events have independent significant effects on the HRQoL in CAD patients, especially in female patients, and special attention should be paid to patients who experience high levels of stress and have low social support when planning cardiac rehabilitation programs.
Effects of Multimodal Interventions for Primary Prevention of CVD on Depression, Anxiety, and the Type D Personality
The German PreFord study, a randomized-controlled trial to evaluate guideline based primary prevention of CVD, did not provide evidence that these psychosocial risk factors can be effectively treated by multimodal behavioral interventions.
The evaluation of anxiety, depression and Type D personality in a sample of cardiac patients
The study demonstrated that Cardiac Rehabilitation has beneficial effects on the psychological state of patients to stimulate awareness of the disease, modification of its perception and exchange of information valuable to reorganize private and professional lives.
Psychosocial and stress-related aspects on Ischemic Heart Disease
Inferior health in younger compared to older AMI patients in mental health domains of HRQoL was detected as was a sex difference in the cortisol awakening response between men and women with MetS.
[The relationship between depression, anxiety and heart disease - a psychosomatic challenge].
Depression and anxiety disorders in patients with heart disease paradigmatically define a psychosomatic-somatopsychic challenge to any health delivery system.


Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study.
The presence of two or more depressive symptoms and lack of social integration independently predicted recurrent cardiac events in women with coronary heart disease.
Work-Related Psychosocial Factors and the Development of Ischemic Heart Disease: A Systematic Review
Moderate evidence is indicated that high psychologic demands, lack of social support, and iso-strain are risk factors for ischemic heart disease among men, and studies involving women are too few to draw any conclusion concerning women, work stress, and IHD.
Clinical Implications of a Reduction in Psychological Distress on Cardiac Prognosis in Patients Participating in a Psychosocial Intervention Program
Post–myocardial infarction interventions that reduce psychological distress have the potential to improve long-term prognosis and psychological status for both men and women.
Inadequate response to treatment in coronary heart disease : adverse effects of type D personality and younger age on 5-year prognosis and quality of life.
Reduced LVEF, type D personality, and younger age increase the risk of cardiac events; convergence of these factors predicts nonresponse to treatment.
Stress Reduction Prolongs Life in Women With Coronary Disease: The Stockholm Women’s Intervention Trial for Coronary Heart Disease (SWITCHD)
Although mechanisms remain unclear, a group-based psychosocial intervention program for women with coronary heart disease may prolong lives independent of other prognostic factors.
Social Support and Coronary Heart Disease: Epidemiologic Evidence and Implications for Treatment
It is not clear what types of support are most associated with clinical outcomes in healthy persons and CHD patients, but evidence suggests that low social support confers a risk of 1.5 to 2.0 in both healthy populations and in patients with established CHD.
Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease.
Anxiety and depression predict greater MACE risk in patients with stable CAD, supporting future research into common genetic, environmental, and pathophysiologic pathways and treatments.